Identifying Depression Depression, like most mental illness runs the continuum of severity. It can be mild or major. It can last from weeks to months. It can involve anxiety symptoms as well. Depression is primarily characterized by sadness and/or loss of pleasure in nearly all activities. Additionally, there may be symptoms such as changes in appetite, sleep patterns, and psychomotor activity (changes in both mental and physical responsiveness and/or activity). A depressed person may struggle with feelings of low self worth, recurrent thoughts of dying, as well as difficulty concentrating or making decisions. In children and adolescents the mood is often manifested as irritability rather than sadness. Some people may deny having feelings of sadness; instead they may report feeling numb or having no feelings at all.

Taking Action First, it is important to look at how severely one’s functioning may be impaired. If the person’s level of functioning has been significantly impaired, i.e. they are having difficulty performing their daily routine, seek professional help immediately. A trip to the family doctor to rule out any medical conditions that might be causing the mood disorder is a good place to start. Second, assess whether there have been any significant changes in circumstances, relationships etc. that may be contributing to the depression. Third, if your loved one indicates they have a plan or intentions to harm themselves, take action immediately to get help. Call a mental health professional that you have been referred to by a reliable source or check your phone book for community mental health services. You can also call 1-800-784-2433 a suicide prevention hotline. If the threat is imminent, call 911.

Don’t Wait – Get Help One of the biggest reasons people do not seek help is the shame they feel about having a mental illness. The reality is that our minds are vulnerable to illness just like our bodies. There is no shame in developing the flu or some other medical condition, so why is there with the mind? Those who avoid seeking help because of the shame they feel only languish longer than necessary.

How Counseling Can Help A counselor can help a person gain perspective about their illness; resolve problems that may be contributing to the depression and assist the person in developing coping skills. However, in addition to counseling, depending on the severity of the depression, medication may also be a treatment option. You can discuss this with your counselor, who could then refer you to a psychiatrist to prescribe and manage the necessary medication. Relief is available for difficulties that plague our minds. It is truly the wise that seek out the help, wisdom and counsel of those whom God has equipped to facilitate the healing of the mind.